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10175 Fortune Pkwy Unit 903 Jacksonville FL 32256-6755 | |
| (904) 538-0713 | |
| (904) 538-0714 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10175 Fortune Pkwy Unit 903, Jacksonville, Florida |
| Authorized Official Name and Position | Paul E Napier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9045380713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3509 Us Highway 17 Fleming Island FL 32003-7122 Ph: (904) 579-3280 | 10175 Fortune Pkwy Unit 903 Jacksonville FL 32256-6755 Ph: (904) 538-0713 |
| NPI Number | 1366792814 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366792814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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